A flight nurse is called to transport an unconscious patient who has an advanced directive documented in their medical record, specifying that no life-saving measures are to be taken. During the flight, the patient goes into cardiopulmonary arrest. What is the most appropriate action for the flight nurse to take?
Assess the situation after landing and consider seeking medical advice.
Verify the directive with the receiving facility prior to deciding on a course of action.
Follow the advanced directive and refrain from life-saving measures.
Begin resuscitation based on the patient's clinical condition.
The correct action is to follow the advanced directive and refrain from initiating life-saving measures, as this legally honors the patient’s wishes. Ignoring an advanced directive and providing resuscitation could lead to ethical and legal consequences, including violating patient autonomy and potential legal repercussions for disregarding their expressed directives.
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BCEN CFRN
General Principles of Flight Transport Nursing Practice
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